Perioperative vision loss following non-ophthalmic surgical procedures represents a rare but potentially serious complication. Although its occurrence in urology is infrequent, the consequences for patients and legal implications are significant. We present the case of a 53-year-old woman with no notable medical history, treated for renal lithiasis. Following the ureteroscopy, the patient experienced a sudden reduction in visual acuity. The diagnosis made was that of posterior ischemic optic neuropathy. This case illustrates a rare complication associated with ureteroscopy, highlighting the importance of increased awareness and rigorous postoperative monitoring, especially in patients with risk factors such as anemia or hypertension. Fortunately, the patient's rapid and complete recovery is encouraging, suggesting that early identification and appropriate management can lead to a favorable prognosis.
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http://dx.doi.org/10.11604/pamj.2024.47.201.42952 | DOI Listing |
Acta Neurochir (Wien)
December 2024
Frontlab, Paris Brain Institute, CNRS UMR 7225, INSERM U1127, Paris, France.
Objective: To provide an explanation for the intraoperative onset of severe naming deficits in the course of awake resection of left insular glioma.
Methods: We retrospectively reviewed a series of 14 patients operated on in awake conditions for a left insular IDH-mutated glioma. Preoperative MRI included high-resolution diffusion sequences, to which constrained spherical deconvolution pipeline was applied, to obtain a whole brain tractogram.
Cureus
November 2024
Stroke Unit, Centro Hospitalar Tondela-Viseu, Viseu, PRT.
Emery-Dreifuss muscular dystrophy type 2 (EDMD2) is a rare autosomal dominant neuromuscular disorder caused by LMNA gene mutations and characterized by progressive skeletal muscle weakness and significant cardiac involvement. We report the case of a 45-year-old woman who presented with sudden-onset, left-sided hemiparesis and dysarthria. Initial imaging was unremarkable, and symptoms transiently improved, suggesting a transient ischemic attack.
View Article and Find Full Text PDFCureus
November 2024
Radiology, The Second Jeddah Health Cluster, Jeddah, SAU.
Takotsubo cardiomyopathy (TCM), also known as stress-induced cardiomyopathy or "broken heart syndrome," is a transient cardiac condition that often mimics acute coronary syndrome (ACS) but lacks obstructive coronary artery disease. TCM primarily affects postmenopausal women and is often precipitated by physical or emotional stress. This report presents a case of TCM in a 65-year-old woman, emphasizing the diagnostic challenges and clinical management required to distinguish TCM from ACS.
View Article and Find Full Text PDFAm J Med
December 2024
Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA; Department of Internal Medicine; McLean Hospital, Belmont, MA, Harvard Medical Schoo1, Boston, MA, USA. Electronic address:
Although endurance exercise is cardioprotective, episodes of strenuous physical exertion can trigger sudden cardiac death. While marathon training promotes overall heart health, running such races transiently increases cardiac arrest risk, mainly in middle-aged men with subclinical coronary atherosclerosis. Coronary artery calcium scanning has been advised for risk stratification to identify those who benefit from enhanced primary prevention.
View Article and Find Full Text PDFJ Physiol
December 2024
Delft University of Technology, Delft, The Netherlands.
A task as simple as holding a cup between your fingers generates complex motor commands to finely regulate the forces applied by muscles. These fine force adjustments ensure the stability and integrity of the object by preventing it from slipping out of grip during manipulation and by reacting to perturbations. To do so, our sensorimotor system constantly monitors tactile and proprioceptive information about the force object exerts on fingertips and the friction of the surfaces to determine the optimal grip force.
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